The patient presented at age 13, when scoliosis was detected during routine school screening.
Post-menarchal female
Type 6 curve or primary thoracolumbar curve with significantly rotated and structural thoracic component.
She also has some asymmetry of her shoulders.
The patient has a 1 cm leg length inequality
Patient followed for two years prior to surgery.

Pre-op X-rays:

The patient seems to be decompensated slightly in the coronal plane. She has a hyper thoracic kyphosis, compensatory lumbar lordosis. She was significantly worked up to verify that this is an idiopathic curve, not a congenital curve.

Bending X-rays:

Right and left side bending show a horizontality of L3 on the Harrington drop line specifically with bending

The hardware in excellent position, and over 50% correction of her curve was obtained. However, we can see that her head is shifted slightly to the right and she has some obliquity of her pelvis. Dr. Pashman recommended a heel lift to address the patient’s leg length discrepancy.